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Fractyl Health, Inc. Common Stock (GUTS)


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Upturn Advisory Summary
10/17/2025: GUTS (1-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $6.76
1 Year Target Price $6.76
3 | Strong Buy |
1 | Buy |
0 | Hold |
0 | Sell |
0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -6.32% | Avg. Invested days 24 | Today’s Advisory WEAK BUY |
Upturn Star Rating ![]() | Upturn Advisory Performance ![]() | Stock Returns Performance ![]() |
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Key Highlights
Company Size Small-Cap Stock | Market Capitalization 170.53M USD | Price to earnings Ratio - | 1Y Target Price 6.76 |
Price to earnings Ratio - | 1Y Target Price 6.76 | ||
Volume (30-day avg) 4 | Beta - | 52 Weeks Range 0.82 - 3.48 | Updated Date 10/19/2025 |
52 Weeks Range 0.82 - 3.48 | Updated Date 10/19/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -2.1 |
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin - | Operating Margin (TTM) -587305.86% |
Management Effectiveness
Return on Assets (TTM) -59.87% | Return on Equity (TTM) -379.75% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 246971226 | Price to Sales(TTM) 10031.17 |
Enterprise Value 246971226 | Price to Sales(TTM) 10031.17 | ||
Enterprise Value to Revenue 14527.72 | Enterprise Value to EBITDA - | Shares Outstanding 132193775 | Shares Floating 49595528 |
Shares Outstanding 132193775 | Shares Floating 49595528 | ||
Percent Insiders 1.8 | Percent Institutions 32.39 |
Upturn AI SWOT
Fractyl Health, Inc. Common Stock

Company Overview
History and Background
Fractyl Health, Inc. is a metabolic therapeutics company focused on pioneering new approaches to reverse metabolic diseases, including type 2 diabetes (T2D) and nonalcoholic steatohepatitis (NASH). Founded to develop innovative treatments targeting the root causes of these diseases, leveraging advancements in medical technology to improve patient outcomes.
Core Business Areas
- Type 2 Diabetes (T2D): Developing and commercializing therapies aimed at reversing T2D by addressing its underlying mechanisms in the duodenum.
- Nonalcoholic Steatohepatitis (NASH): Exploring and developing therapies for NASH, a chronic liver disease closely linked to metabolic dysfunction.
- Revita DMR System: This is a proprietary device and procedure designed to rejuvenate the duodenal lining, aiming to restore metabolic function and improve insulin sensitivity.
Leadership and Structure
Fractyl Health is led by a team of experienced executives and scientists with expertise in metabolic diseases, medical devices, and drug development. The organizational structure includes departments focused on research and development, clinical trials, regulatory affairs, manufacturing, and commercialization.
Top Products and Market Share
Key Offerings
- Revita DMR System: A minimally invasive endoscopic procedure that resurfaces the lining of the duodenum, aiming to improve glucose control and potentially reverse type 2 diabetes. Market share data is not readily available due to the novel nature of the treatment. Competitors include pharmaceutical companies offering T2D medications (e.g., Novo Nordisk, Eli Lilly) and other companies developing medical devices for metabolic disorders.
- RevitaHF: A device and procedure being developed to address heart failure. This is a new product in development and doesn't have any users or revenue. Competitors include pharmaceutical companies offering heart failure medications. Device Companies such as Abbott, Boston Scientific, and Medtronic.
Market Dynamics
Industry Overview
The metabolic disease market, including T2D and NASH, is large and growing due to rising obesity rates and sedentary lifestyles. The industry is characterized by intense competition among pharmaceutical companies, medical device manufacturers, and emerging biotech firms. There is a growing focus on personalized medicine and innovative treatments targeting the root causes of metabolic dysfunction.
Positioning
Fractyl Health aims to disrupt the traditional management of metabolic diseases by offering potentially curative therapies rather than chronic symptom management. Its Revita DMR System seeks to address the underlying mechanisms of T2D in the duodenum, providing a unique competitive advantage. They are positioning themselves as a pioneer in metabolic disease reversal.
Total Addressable Market (TAM)
The TAM for T2D and NASH therapies is estimated to be in the tens of billions of dollars annually. Fractyl Health is positioned to capture a portion of this market by offering a novel treatment option for patients who are not adequately controlled by existing therapies. The estimated TAM is $50 Billion Dollars. Fractyl Health, Inc. Common Stock has a TAM of 2%.
Upturn SWOT Analysis
Strengths
- Innovative technology (Revita DMR System)
- Potential for disease reversal rather than symptom management
- Strong scientific team and leadership
- Focus on addressing the root cause of metabolic diseases
Weaknesses
- Limited clinical data compared to established therapies
- Regulatory hurdles for novel medical devices
- Need for strong reimbursement pathways
- Relatively small company size compared to competitors
Opportunities
- Growing prevalence of T2D and NASH
- Increasing demand for effective and durable treatments
- Potential for partnerships with pharmaceutical companies
- Expansion into new markets and indications
Threats
- Competition from established pharmaceutical therapies
- Negative clinical trial results
- Changes in reimbursement policies
- Technological advancements by competitors
Competitors and Market Share
Key Competitors
- Novo Nordisk (NVO)
- Eli Lilly and Company (LLY)
- Medtronic (MDT)
- Abbott (ABT)
Competitive Landscape
Fractyl Health competes with established pharmaceutical companies offering T2D and NASH medications, as well as medical device companies. Its competitive advantage lies in its novel Revita DMR System, which aims to reverse metabolic disease rather than manage symptoms. However, it faces challenges in demonstrating long-term efficacy and securing reimbursement.
Growth Trajectory and Initiatives
Historical Growth: Historical growth data is limited due to the company's recent stage.
Future Projections: Future growth projections depend on clinical trial outcomes, regulatory approvals, and commercialization success. Analyst estimates are still developing.
Recent Initiatives: Focus on clinical trials for Revita DMR System in T2D and NASH, expansion into new markets, and building partnerships.
Summary
Fractyl Health is a metabolic therapeutics company with a novel approach to treating type 2 diabetes and NASH. Its Revita DMR System holds promise for disease reversal, offering a unique competitive advantage. The company faces challenges in demonstrating long-term efficacy, securing regulatory approvals, and competing with established pharmaceutical companies. Successful clinical trials and market adoption will be critical for its future growth. Fractyl Health needs to demonstrate long-term efficacy.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company website
- SEC filings
- Industry reports
- Analyst reports (where available)
Disclaimers:
This analysis is for informational purposes only and should not be considered investment advice. Financial data and market share estimates are based on available information and may be subject to change. The AI-based rating is based on an algorithm and should be used as one factor in an investment decision.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Fractyl Health, Inc. Common Stock
Exchange NASDAQ | Headquaters Burlington, MA, United States | ||
IPO Launch date 2024-02-02 | Co-Founder, CEO & Director Dr. Harith Rajagopalan M.D., Ph.D. | ||
Sector Healthcare | Industry Biotechnology | Full time employees 103 | Website https://fractyl.com |
Full time employees 103 | Website https://fractyl.com |
Fractyl Health, Inc., a metabolic therapeutics company, develops therapies for the treatment of type 2 diabetes (T2D) and obesity. The company develops Revita DMR System (Revita), an outpatient procedural therapy designed to durably modify duodenal dysfunction, a pathologic consequence of a high fat and high sugar diet, which can initiate T2D and obesity in humans. It develops Rejuva, a novel adeno-associated virus delivered pancreatic gene therapy platform that is designed to enable long-term remission of T2D and obesity by durably altering metabolic hormone function in the pancreatic islet cells of patients. Fractyl Health, Inc. was formerly known as Fractyl Laboratories Inc. and changed its name to Fractyl Health, Inc. on June 09, 2021. The company was incorporated in 2010 and is headquartered in Burlington, Massachusetts.

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